Biocompatible Nanostructured Silver-Incorporated Implant Surfaces Show Effective Antibacterial, Osteogenic, and Anti-Inflammatory Effects in vitro and in Rat Model

Research output: Journal Publications and ReviewsRGC 21 - Publication in refereed journalpeer-review

3 Scopus Citations
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Author(s)

  • Hui Gao (Co-first Author)
  • Nan Jiang (Co-first Author)
  • Qiannan Niu
  • Shenglin Mei
  • Håvard Jostein Haugen
  • And 1 others
  • Qianli Ma

Detail(s)

Original languageEnglish
Pages (from-to)7359-7378
Journal / PublicationInternational Journal of Nanomedicine
Volume18
Online published6 Dec 2023
Publication statusPublished - 2023

Link(s)

Abstract

Introduction: Titanium (Ti) and its alloys are widely utilized in endosseous implants. However, their clinical efficacy is marred by complications arising from bacterial infections owing to their inadequate antibacterial properties. Consequently, enhancing the antibacterial attributes of implant surfaces stands as a pivotal objective in the realm of implantable materials research. Methods: In this study, we employed sequential anodization and plasma immersion ion implantation (PIII) technology to fabricate a silver-embedded sparsely titania nanotube array (SNT) on the near-β titanium alloy Ti-5Zr-3Sn-5Mo-15Nb (TLM) implants. The surface characteristics, antimicrobial properties, biocompatibility, and osteogenic activity of the silver-nanomodified SNT implant (SNT Ag) surface, alongside peri-implant inflammatory responses, were meticulously assessed through a combination of in vitro and in vivo analyses. Results: Compared with polished TLM and SNT, the silver-embedded SNT (SNT Ag) surface retained the basic shape of nanotubes and stably released Ag+ at the ppm level for a long time, which demonstrated an effective inhibition and bactericidal activity against Staphylococcus aureus (SA) while maintaining ideal cytocompatibility. Additionally, the subtle modifications in nanotubular topography induced by silver implantation endowed SNT Ag with enhanced osteogenic activity and mitigated inflammatory capsulation in soft tissue peri-implants in a rat model. Conclusion: Incorporating a silver-embedded SNT array onto the implant surface demonstrated robust antibacterial properties, impeccable cytocompatibility, exceptional osteogenic activity, and the potential to prevent inflammatory encapsulation around the implant site. The Silver-PIII modification strategy emerges as a highly promising approach for surface applications in endosseous implants and trans-gingival implant abutments. © 2023 Gao et al.

Research Area(s)

  • anti-bacterial activity, cytocompatibility, host inflammatory response, implant surface modification, osteogenic differentiation, silver PIII

Citation Format(s)

Biocompatible Nanostructured Silver-Incorporated Implant Surfaces Show Effective Antibacterial, Osteogenic, and Anti-Inflammatory Effects in vitro and in Rat Model. / Gao, Hui (Co-first Author); Jiang, Nan (Co-first Author); Niu, Qiannan et al.
In: International Journal of Nanomedicine, Vol. 18, 2023, p. 7359-7378.

Research output: Journal Publications and ReviewsRGC 21 - Publication in refereed journalpeer-review

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